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陕西省公立医院口服降糖药可获得性评价研究
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| 篇名： | 陕西省公立医院口服降糖药可获得性评价研究 |
| TITLE： | |
| 摘要： | 目的：评价陕西省公立医院口服降糖药的可获得性和配备情况。方法：采用世界卫生组织/健康行动国际组织的标准化调查方法，对陕西省各级公立医院中常用口服降糖药的可获得性和配备率进行调查和评价。结果：三级医院和二级医院的口服降糖药可获得性和配备率均高于社区卫生服务中心。仿制药总体可获得性最高的是二甲双胍（94.4％），最低的是格列本脲和瑞格列奈（均为5.6％）；原研药总体可获得性最高的是阿卡波糖（68.1％）。综合医院的原研药配备率高于仿制药；社区卫生服务中心的仿制药配备率（25.0％）高于原研药（12.5％），但仿制药和原研药的配备率均较低。结论： 综合医院（尤其是三级医院）的口服降糖药原研药配备率较高，社区卫生服务中心的口服降糖药可获得性差、配备率低。应采取综合措施提高基层医疗卫生机构的药品可获得性，保障基层医院的慢性病患者用药。 |
| ABSTRACT： | OBJECTIVE： To evaluate the availability and equipment of antidiabetic drugs in public hospitals from Shaanxi province. METHODS： Using a standardized methodology developed by WHO and Health Action International， the availability and equipping rate of the most common oral antidiabitic drugs were investigated and evaluated in public hospitals of Shaanxi province. RESULTS： The availability and equipping rate of tertiary hospitals and secondary hospitals were all higher than those of community health service centers. Among generic drugs， the availability of metformin was the highest （94.4％）， and those of glibenclamide and repaglinide were the lowest （5.6％）. Among original drugs， the availability of acarbose was the highest （68.1％）. The equipping rate of original drugs was higher than that of generic drugs. The equipping rate of generic drugs （25.0％） was higher than that of original drugs （12.5％） in community health service center， but the equipping rates of generic drugs and original drugs were in low level. CONCLUSIONS： General hospitals （especially tertiary hospitals） have high equipping rate of original antidiabetic drugs， the community health services have low availability and equipping rate. Comprehensive measures should be taken to improve the availability of drugs in primary medical institutions and ensure drug use of chronic disease patients in primary hospitals. |
| 期刊： | 2017年第28卷第5期 |
| 作者： | 朱稳稳，杨才君，蔡文芳，沈倩，武丽娜，李宗杰，方宇 |
| AUTHORS： | ZHU Wenwen，YANG Caijun，CAI Wenfang，SHEN Qian，WU Lina，LI Zongjie，FANG Yu |
| 关键字： | 糖尿病；口服降糖药；可获得性；配备率；陕西省 |
| KEYWORDS： | Diabetes； Oral antidiabetic drugs； Availability； Equipping rate； Shaanxi province |
| 阅读数： | 303 次 |
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